Burch colposuspension is a surgical procedure primarily utilized for the treatment of stress urinary incontinence (SUI) in women. During this procedure, the surgeon creates a supportive sling by attaching the tissue near the urethra and bladder neck to strong ligaments in the pelvis. This added support helps to prevent urine leakage during activities that exert pressure on the bladder, such as coughing, sneezing, or lifting heavy objects. Burch colposuspension has been a longstanding and effective surgical option for SUI, offering durable results and a high rate of patient satisfaction. However, it's important for patients to discuss the potential risks, benefits, and alternatives with their healthcare provider to make an informed decision about whether Burch colposuspension is the right choice for them.